[1]张晴,厉春林,赵恺,等.神经外科重症病人肠内营养并发腹压增高的危险因素[J].中国临床神经外科杂志,2024,29(06):350-354.[doi:10.13798/j.issn.1009-153X.2024.06.007]
 ZHANG Qing,LI Chun-lin,ZHAO Kai,et al.Risk factors for intra-abdominal hypertension in critically ill neurosurgical patients after enteral nutrition[J].,2024,29(06):350-354.[doi:10.13798/j.issn.1009-153X.2024.06.007]
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神经外科重症病人肠内营养并发腹压增高的危险因素()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年06期
页码:
350-354
栏目:
论著
出版日期:
2024-06-30

文章信息/Info

Title:
Risk factors for intra-abdominal hypertension in critically ill neurosurgical patients after enteral nutrition
文章编号:
1009-153X(2024)06-0350-05
作者:
张晴厉春林赵恺才智
430032武汉,华中科技大学同济医学院附属同济医院神经外科(张晴、厉春林、赵恺、才智);430032武汉,华中科技大学医药卫生管理学院(张晴)
Author(s):
ZHANG Qing12 LI Chun-lin1 ZHAO Kai1 CAI Zhi1
1. Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430032, China; 2. School of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan 430032, China
关键词:
神经外科重症肠内营养腹压增高危险因素
Keywords:
Critically ill neurosurgical patients Enteral nutrition Intra-abdominal hypertension Risk factors
分类号:
R 651
DOI:
10.13798/j.issn.1009-153X.2024.06.007
文献标志码:
A
摘要:
目的 探讨神经外科重症病人肠内营养后发生腹压增高的危险因素。方法 回顾性分析2022年6~12月神经外科监护室接受肠内营养治疗的123例神经外科重症病人的临床资料。肠内营养治疗后,在尿管末端连接压力传感器监测腹压,持续增高>12 mmHg称为腹压增高。结果 123例接受肠内营养的神经重症病人中,38例(30.89%)发生腹压增高。多因素logistic回归分析显示,镇静药物、喂养不耐受是神经外科重症病人肠内营养后发生腹压增高的独立危险因素(P<0.05), 鼻肠管喂养、血清白蛋白正常是神经外科重症病人肠内营养后发生腹压增高的保护因素(P<0.05)。结论 神经外科重症病人实施肠内营养过程中腹压增高发生率较高,镇静药物、鼻肠管喂养、血清白蛋白、喂养不耐受是神经外科重症病人肠内营养后发生腹压增高的影响因素,临床需参考这些因素制定预警方案,以改善病人的预后。
Abstract:
Objective To explore the risk factors for intra-abdominal hypertension (IAH) in critically ill neurosurgical patients after enteral nutrition. Methods The clinical data of 123 critically ill neurosurgical patients who received enteral nutrition treatment in the neurosurgical intensive care unit from June to December 2022 were retrospectively analyzed. After enteral nutrition treatment, a pressure sensor is connected to the end of the urinary catheter to monitor the abdominal pressure. A continuous increase of >12 mmHg is termed as IAH. Results Among the 123 critically ill neurosurgical patients receiving enteral nutrition, 38 patients (30.89%) had IAH. Multivariate logistic regression analysis revealed that sedative drugs and feeding intolerance were independent risk factors for IAH after enteral nutrition in critically ill neurosurgical patients (P<0.05), while naso-intestinal tube feeding and normal serum albumin were protective factors (P<0.05). Conclusions The incidence of IAH during the implementation of enteral nutrition in critically ill neurosurgical patients is relatively high. Sedative drugs, naso-intestinal tube feeding, serum albumin, and feeding intolerance are the influencing factors for IAH after enteral nutrition in critically ill neurosurgical patients. In clinical practice, early warning plans should be formulated with reference to these factors to improve the prognosis of patients.

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备注/Memo

备注/Memo:
(2023-08-23收稿,2024-02-21修回)
基金项目:湖北省病理生理学会项目(2021HBAP007)
通信作者:厉春林,Email:947776505@qq.com
更新日期/Last Update: 2024-06-30